LEAD CARE MANAGER (South LA Coverage)
About the role
BLEHEALTH is seeking qualified candidates who reside within the South Los Angeles (South LA) service area and are able to work exclusively within this geographic region. Candidates must live in or near ZIP codes 90044, 90047, 90059, and 90061, and must demonstrate reliable access to the South LA community for field‑based duties, member visits, provider coordination, and in‑person engagements as required.
The Lead Care Manager plays a vital role in supporting chronically ill and high‑risk members by coordinating care, reducing barriers, and improving health outcomes. This position works in continuous partnership with members, families/caregivers, providers, hospitals, and community resources to deliver high‑quality, person‑centered Enhanced Care Management (ECM) services.
Responsibilities
- Coordinate care across clinics, hospitals, specialists, and community agencies using strong care coordination, case management, and organizational skills to ensure a seamless experience and avoid duplication of services.
- Oversee the delivery of ECM services and ensure implementation and follow‑through of individualized care plans, applying project management and prioritization skills.
- Provide services where the member lives, seeks care, or feels most comfortable, demonstrating flexibility, cultural awareness, and strong interpersonal skills.
- Assess unmet medical, behavioral, and social needs and develop comprehensive care plans using critical thinking, problem‑solving, and clinical judgment.
- Support access to medical, behavioral health, and specialty care; arrange transportation and assist with appointment scheduling using effective communication and coordination abilities.
- Accompany members to office visits when appropriate, maintaining professional boundaries and member‑centered engagement.
- Monitor treatment adherence, including medication compliance, using attention to detail and follow‑through